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Dual NOX/SGLT2 inhibitors as the hybrid compound GKT137831 (inhibitor of NOX1 and NOX4) and empagliflozin (SGLT2 inhibitor) have shown synergistic effects, improving insulin sensitivity by 40% in diabetic rodent models ( Emerging strategies focus on mitochondrial-specific antioxidants (e.g., MitoQ, SS-31), which have shown promise in preclinical and early-phase clinical trials by reducing mtROS and improving endothelial function in diabetic patients (Mason et al., 2022)

Ann Oncol 27: 559-574

By targeting the gut microbiome, these therapies offer a novel and potentially effective strategy for mitigating the risks and progression of hyperuricemia and gout, thereby contributing to a more holistic and personalized treatment approach in clinical practice

It is also reported that l-carnitine can improve glycemia in T2DM patients (33)